원위 경비골 골절에 대한 골수강내 금속정술에서 비골 고정이 족근 관절 기능에 미치는 영향 (The Effect of Fibular Fixation on Ankle Function in Intramedullary Nailing for Distal Tibiofibular Fractures)

서지정보

· 발행기관 : 대한족부족관절학회
· 수록지 정보 : 대한족부족관절학회지 / 13권 / 2호 / 169 ~ 174페이지
· 저자명 : 서병호, 이수원, 공규민, 김동준, 오현근

초록

Purpose: To evaluate the clinical results between interlocking intramedullary nail with fibular fixation and nail only for treating
distal tibiofibular diaphyseal fractures.
Materials and Methods: From March 2003 to September 2006, 19 distal tibiofibular fractures were antegrade nailed after anatomical
reduction and fixation of fibular fractures, and another 37 fractures fixed with nails only. Average age of patients was 48.6 years.
These two groups were compared by VAS (visual analogue scale) & ankle ROM according to degree of comminution and fracture
configuration. The statistical analysis was evaluated by t-test.
Results: There was no statistical difference between fibular fixation group and non-fixation group in VAS score according to fracture
comminution and configuration (p>0.05). However, compared according to fracture configuration, mean ankle eversion of fibular
fixation group in oblique fractures was 18.3 degrees, and that of non-fixation group was 12.5 degrees (p<0.05). In addition, mean
ankle plantar flexion, dorsiflexion, inversion and total ankle ROM of fibular fixation group in spiral fractures was 40.0, 20.0, 30.0
and 108.3 degrees of each and that of non-fixation group was 38.3, 18.5, 27.0 and 101.7 degrees (p<0.05).
Conclusions: In oblique and spiral fractures of distal tibiofibular diaphysis, interlocking intramedullary nail with fibular fixation had
the advantage in postoperative ankle ROM. So, it can be a worthy method for the treatment of distal tibiofibular diaphyseal
fractures.

영어초록

Purpose: To evaluate the clinical results between interlocking intramedullary nail with fibular fixation and nail only for treating
distal tibiofibular diaphyseal fractures.
Materials and Methods: From March 2003 to September 2006, 19 distal tibiofibular fractures were antegrade nailed after anatomical
reduction and fixation of fibular fractures, and another 37 fractures fixed with nails only. Average age of patients was 48.6 years.
These two groups were compared by VAS (visual analogue scale) & ankle ROM according to degree of comminution and fracture
configuration. The statistical analysis was evaluated by t-test.
Results: There was no statistical difference between fibular fixation group and non-fixation group in VAS score according to fracture
comminution and configuration (p>0.05). However, compared according to fracture configuration, mean ankle eversion of fibular
fixation group in oblique fractures was 18.3 degrees, and that of non-fixation group was 12.5 degrees (p<0.05). In addition, mean
ankle plantar flexion, dorsiflexion, inversion and total ankle ROM of fibular fixation group in spiral fractures was 40.0, 20.0, 30.0
and 108.3 degrees of each and that of non-fixation group was 38.3, 18.5, 27.0 and 101.7 degrees (p<0.05).
Conclusions: In oblique and spiral fractures of distal tibiofibular diaphysis, interlocking intramedullary nail with fibular fixation had
the advantage in postoperative ankle ROM. So, it can be a worthy method for the treatment of distal tibiofibular diaphyseal
fractures.

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